Shadiack, Anthony

Shadiack, Anthony is an individual health care provider with primary practice located at 920 Doug White Dr Ste 250 , Myrtle Beach SC 29572-4181. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shadiack, Anthony can be contacted via phone (843) 848-4640.

Contact Information

Primary practice address
920 Doug White Dr Ste 250 Myrtle Beach SC 29572-4181
Phone: (843) 848-4640
Fax: (843) 839-2382
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS13394 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 82082 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 82082 South Carolina

Profile Details

NPI number 1427328533
LBN Legal business name Shadiack, Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2012
Last updated Aug 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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